经尿道钬激光前列腺剜除术的技术要点和尿道黏膜保留的策略(附光盘)

经过20多年的发展,经尿道钬激光前列腺剜除术(HoLEP)目前已成为一种主要的内镜下前列腺剜除方法,并有取代经尿道前列腺电切术(TURP)成为良性前列腺增生症(BPH)外科治疗新的金标准之趋势。但是学习曲线太长仍然是限制其推广的主要原因。本文对HoLEP的关键技术进行总结并介绍一种完整保留前列腺尖部尿道黏膜的手术策略,希望能减少术后暂时性压力性尿失禁的发生率,并尽量缩短学习曲线。

Key techniques of transurethal holmium laser enucleation of the prostate and strategy for urethral mucosal retention

During the last two decades,transurethral holmium laser enucleation of the prostate(HoLEP)has become a major method for endoscopic enucleation of the prostate,and tended to replace transurethral resection of the prostate(TURP)as the new golden standard for surgical treatment of benign prostatic hyperplasia(BPH).However,the long learning curve restricts its promotion.The authors summarized the key techniques of HoLEP and introduced a surgical strategy to completely preserve urethral mucosa at the apex of the prostate,hoping to reduce the incidence of temporary stress urinary incontinence and shorten the learning curve as much as possible.